肥胖类别与全关节整形术后重新手术的发生率,时间或侵入性无关
Felix C Oettl1, Aaron I Weinblatt2, Ranqing Lan2
1Adult Reconstruction and Joint Replacement Service, Hospital for Special Surgery, New York, New York; Department of Orthopedic Surgery, Balgrist University Hospital, University of Zürich, Zurich, Switzerland.
The Journal of arthroplasty
|July 19, 2025
概括
肥胖类别不会影响关节整形术 (THA) 后的重新手术风险. 这项研究发现,在THA患者中,世卫组织肥胖类别的重复手术率,侵入性或时间没有显著差异.
科学领域:
- 整形外科手术 整形外科手术
- 肥胖医学 肥胖医学
- 生物统计学 生物统计学
背景情况:
- 已建立的身体质量指数 (BMI) 截止值存在于肥胖个体的选择性关节整形术 (THA) 资格.
- 肥胖严重程度和THA后的重新手术风险之间的关联还没有得到很好的定义.
研究的目的:
- 调查世界卫生组织 (WHO) 的肥胖类别是否独立地影响THA后的再手术的风险,侵入性或时间.
- 评估肥胖严重程度对接受选择性THA治疗的患者重新手术结果的影响.
主要方法:
- 对7022名肥胖患者 (体重指数≥30) 进行一次性THA治疗的回顾性队列研究 (2016-2022年).
- 被归类为世卫组织肥胖类1,2,3的患者.
- 图表审查确定了重新操作;卡普兰-梅尔和考克斯比例危险回归分析了重新操作的风险和时间,并对共变量进行了调整.
主要成果:
- 整体重复手术率为1.0% (67/7,022名患者).
- 在所有肥胖类别中,重复手术率相似:第1类 (1.0%),第2类 (0.9%) 和第3类 (0.7%) (P = 0.77).
- 关于重复手术的肥胖类别之间生存分析没有统计学上显著的差异.
结论:
- 世界卫生组织 (WHO) 的肥胖类别并不独立地与THA.之后的再手术的风险,侵入性或时间有关.
- 目前仅基于BMI限制THA的政策可能无法有效地降低肥胖人口的重新手术率.
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